50D1020930 CLIA NUMBER - HARBORVIEW AACS POCT OFF SITE CLINICS

Laboratory Demographics

  • CLIA Code: 50D1020930
  • Facility Name: HARBORVIEW AACS POCT OFF SITE CLINICS
  • Facility Address: 401 BROADWAY 1ST FLOOR
    SEATTLE, WA
    ZIP 98104
  • Facility Phone: 206 744-2876
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: SARA L. JACKSON
  • NPI Number: 1568557312
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 50D1020930
LAB Type Community Clinic
Facility Name HARBORVIEW AACS POCT OFF SITE CLINICS
Street 401 BROADWAY 1ST FLOOR
City SEATTLE
State WA
ZIP 98104
Phone 206 744-2876
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/18/2016
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director SARA L. JACKSON

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This page was last updated on: 9/29/2025